Four Sporadic Pediatric Cases of Yersinia enterocolitica O:8 Infection in a Rural Area of Japan

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  • Minami Kisei
    Department of General Pediatrics, Nagano Children's Hospital
  • Yasuda Ryu
    Department of General Pediatrics, Nagano Children's Hospital
  • Terakawa Runa
    Department of General Pediatrics, Nagano Children's Hospital
  • Koike Yumi
    Department of General Pediatrics, Nagano Children's Hospital
  • Takeuchi Koichi
    Department of General Pediatrics, Nagano Children's Hospital
  • Higuchi Tsukasa
    Department of General Pediatrics, Nagano Children's Hospital
  • Horiuchi Ayaka
    Department of Laboratory Medicine, Nagano Children's Hospital
  • Kubota Noriko
    Department of Laboratory Medicine, Nagano Children's Hospital
  • Hidaka Eiko
    Department of Laboratory Medicine, Nagano Children's Hospital
  • Kawakami Yoshiyuki
    Division of Infection Control and Microbiological Regulation, Department of Health and Medical Sciences, Shinshu University Graduate School of Medicine

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  • Four Sporadic Pediatric Cases of <i>Yersinia enterocolitica</i> O:8 Infection in a Rural Area of Japan

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In the spring of 2015, we experienced a cluster of 4 sporadic cases of yersiniosis in children in Nagano prefecture, a rural area of Japan. Two patients developed appendicitis-like episodes; one had acute gastroenteritis, and the other had bacteremia associated with liver abscess. The causative agent of these infections was Yersinia enterocolitica serogroup O:8. None of the patients had an underlying illness, and all have recovered completely. The patients were neither socially nor geographically related to each other. These 4 consecutive cases suggest that Y. enterocolitica O:8 has spread substantially in the middle part of Japan, and that this virulent strain might be more common than previously reported in our country.

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